Hall, Travis Clark
Hall, Travis Clark is an individual health care provider with primary practice located at 2402 Tift Ave N , Tifton GA 31794-1883. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Hall, Travis Clark can be contacted via phone (229) 382-7898.Contact Information
Primary practice address
2402 Tift Ave N
Tifton GA 31794-1883
Phone: (229) 382-7898
Fax: (229) 386-5818
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 540 | Georgia |
Profile Details
| NPI number | 1598269334 |
|---|---|
| LBN Legal business name | Hall, Travis Clark |
| Credentials | CADCII |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2018 |
| Last updated | Mar 19th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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